Kenneth Ryan Mataragas, PA-C in Port Jefferson Station, NY

Kenneth Ryan Mataragas, PA-C is a medicare enrolled "Physician Assistant" in Port Jefferson Station, New York. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Optum Medical Care Pc and his current practice location is 1500 Ny-112 Building 6, Suite C, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 732-9090.

Kenneth Ryan Mataragas is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1003326133.

Contact Information

	Kenneth Ryan Mataragas, PA-C
	1500 Ny-112 Building 6, Suite C, Port Jefferson Station, NY 11776
	(631) 732-9090
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Ryan Mataragas
Gender	Male
Speciality	Physician Assistant
Experience	7 Years
Location	1500 Ny-112 Building 6, Port Jefferson Station, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Ryan Mataragas graduated from nursing school in 2017

NPI Data:

NPI Number: 1003326133
Provider Enumeration Date: 10/03/2017
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7911264783
Enrollment ID: I20171204000394

Medical Identifiers

Medical identifiers for Kenneth Ryan Mataragas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003326133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Medical Care Pc	9931013240	997

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Ryan Mataragas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Ryan Mataragas, PA-C 1500 Ny-112, Building 6 Suite C, Port Jefferson Station, NY 11776 Ph: (631) 732-9090	Kenneth Ryan Mataragas, PA-C 1500 Ny-112 Building 6, Suite C, Port Jefferson Station, NY 11776 Ph: (631) 732-9090

Reviews and Comments

Physician Assistant Nurses in Port Jefferson Station, NY

Stacey Digiacomo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-331-0500 Fax: 631-331-1644
Amanda Marie Wiermann, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 69 Clymer St, Port Jefferson Station, NY 11776 Phone: 631-828-5419
Linda Wynne, RPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 815 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7267
Mr. Michael Gerard Schmit Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002
Michelle Walz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Massachusetts Ave, Port Jefferson Station, NY 11776 Phone: 631-374-6910
Noami Morey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4724 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-474-5900 Fax: 631-828-1946

Kenneth Ryan Mataragas, PA-C - Medicare Physician Assistant in Port Jefferson Station, NY